Active NPI
Michael Nickolas Schnitzer, DO
- Adult Medicine Physician
- Macomb, MI
National Provider Identifier
1932445368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 5101005056
- Practice address
- 47694 Malburg Way Dr
Macomb, MI 48044-3031 - Phone
- (586) 598-8775
- NPI assigned
- Dec 12, 2012
- Last updated
- Dec 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 5101005056 | MI | Primary |
Addresses
Primary practice location
47694 Malburg Way Dr
Macomb, MI 48044-3031
Mailing address
47694 Malburg Way Dr
Macomb, MI 48044-3031
Phone (586) 598-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101005056 | MI | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1932445368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47694 MALBURG WAY DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480443031",
"telephone_number": "586-598-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47694 MALBURG WAY DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480443031",
"telephone_number": "586-598-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNITZER",
"first_name": "MICHAEL",
"middle_name": "NICKOLAS",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-12",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MI",
"license": "5101005056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.